James Frederick Coley Jr., DDS

Individual provider Active NPI General Practice Dentistry · Washington, DC

NPI 1962681072 · NPPES record last updated Oct 25, 2007

Key facts

NPI
1962681072
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2987 (DC)
Practice address
500 8TH St NE
Washington, DC 20002-5236
Phone
(202) 543-7498
NPI assigned
Oct 25, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2987DCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2987 DC Yes

Addresses

Primary practice location

500 8TH St NE
Washington, DC 20002-5236

Mailing address

500 8TH St NE
Washington, DC 20002-5236
Phone (202) 543-7498

Other providers in Washington, DC

All providers in Washington, DC · General Practice Dentistry in District of Columbia

Sources for this page

Verify at the official NPI Registry.